Person-Centred Nursing : Theory and Practice

by McCormack, Brendan; McCance, Tanya

• ISBN13: 9781405171137
• ISBN10: 1405171138
• Edition: 1st
• Format: Paperback
• Copyright: 2010-08-23
• Publisher: Wiley-Blackwell

Summary

The concept of 'personcentredness' has become established in approaches to the delivery of healthcare, particularly with nursing, and is embedded in many international healthcare policy frameworks and strategic plans. This book explores personcentred nursing using a framework that has been derived from research and practice. PersonCentred Nursing is a theoretically rigorous and practically applied text that aims to increase nurses' understanding of the principles and practices of personcentred nursing in a multiprofessional context. It aims to advance new understandings of personcentred nursing concepts and theories through the presentation of an inductively derived and tested framework for personcentred nursing. In addition it explores a variety of strategies for developing personcentred nursing and presents case examples of the concept in action. This is a practical resource for all nurses who want to develop personcentred ways of working.

Author Biography

Brendan McCormack is Professor of Nursing Research at the Institute of Nursing Research/School of Nursing, University of Ulster, Northern Ireland. He is also Adjunct Professor of Nursing at the University of Technology, Sydney, and Adjunct Professor of Nursing, Faculty of Medicine, Nursing and Health Care, Monash University, Melbourne Tanya McCance holds a joint post and is the Mona Grey Professor for Nursing Research and Development at the Institute of Nursing Research/School of Nursing, University of Ulster and Co-Director-Nursing RD, Belfast Health and Social Care Trust, Northern Ireland

Table of Contents

Author Biographies	p. ix
Acknowledgements	p. xi
Introduction	p. 1
The Person-Centred Nursing Framework	p. 3
Structure of the Book	p. 4
Personhood and Person-Centredness	p. 5
Introduction	p. 5
The Concept of 'Person'	p. 5
A Hierarchy of Attributes	p. 6
The Reflective Person	p. 7
The Intrinsic Moral Good of Persons	p. 9
The Embodied Person and Personhood	p. 11
Connecting Concepts of Persons through Authenticity	p. 14
The 'Life Plan' as a representation of the Authentic Self	p. 17
Summary of Key Points	p. 19
A Theoretical Framework for Person-Centred Nursing	p. 21
Introduction	p. 21
Caring and Person-Centredness	p. 21
The Concept of Caring	p. 22
The Concept of Person-Centredness	p. 26
Person-Centred Nursing	p. 31
The Person-Centred Nursing Framework	p. 32
Summary of Key Points	p. 38
Pre-requisites: Attributes of the Nurse	p. 41
Introduction	p. 41
Professionally Competent	p. 41
Developed Interpersonal Skills	p. 47
Being Committed to the Job	p. 50
Clarity of Beliefs and Values	p. 54
Knowing Self	p. 56
Summary of Key Points	p. 60
The Care Environment	p. 61
Introduction	p. 61
Workplace Culture	p. 62
Skill Mix	p. 66
Shared Decision-Making Systems	p. 71
Power Sharing and Effective Staff Relationships	p. 73
Potential for Innovation and Risk-Taking	p. 78
The Physical Environment	p. 84
Summary of Key Points	p. 87
Person-Centred Processes	p. 89
Introduction	p. 89
Working with Patients' Beliefs and Values	p. 89
Shared Decision-Making	p. 93
Engagement	p. 97
Having Sympathetic Presence	p. 100
Providing Holistic Care	p. 104
Summary of Key Points	p. 108
Person-Centred Nursing Outcomes and their Evaluation	p. 111
Introduction	p. 111
Outcome Evaluation in Nursing	p. 111
Outcome Evaluation in Person-Centred Nursing	p. 114
A Framework for Outcome Evaluation	p. 117
Summary of Key Points	p. 134
Using a Practice Development Framework to Develop Person-Centred Cultures	p. 137
Introduction	p. 137
Why a Practice Development Approach?	p. 138
What is Practice Development?	p. 140
How can Practice Development Methodology be made real in Practice?	p. 144
Case Studies of PCN Developments using Emancipatory and Transformational Approaches	p. 146
A Collaborative Practice Development Programme for Clinical Nurse Leaders: 'Creating the Conditions for Growth'	p. 146
An Experience of Using a Framework for the Development of Person-Centred Practice	p. 150
Journeying from 'I have a Dream' towards 'Yes, we can': A Dialogue about leading the Development of Person-Centred Nursing	p. 152
The Belfast Health and Social Care Trust Person-Centred Care Programme	p. 158
Person-Centred Practice at Uniting Care Ageing, New South Wales, Australia	p. 163
Summary of Key Points	p. 168
References	p. 171
Index	p. 191
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